NPI | 1710272208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101252319) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2011-06-13 |
Last Update Date | 2022-03-01 |